Reduce Waiting & No-Shows  Increase Admissions & Continuation Leading Organizational Change: Principles Gained from Personal Construct Psychology and Repertory Grid Technique Scott O. Farnum, LCPC, LADC, MPA NIATX, Process Improvement Coach Lynn M. Madden, MPA, CHE APT Foundation David L. Prescott, Ph.D. Acadia Hospital Reduce Waiting & No-Shows  Increase Admissions & Continuation

NIATx Aims Reduce Waiting Times Reduce No-Shows Increase Admissions Increase Continuation Rates

Reduce Waiting & No-Shows  Increase Admissions & Continuation Leaders – Create and Organize the Team Send a letter of invitation Let the Board know what you are doing, and the names of the team members Publicize your results – good or not so good Show up

Reduce Waiting & No-Shows  Increase Admissions & Continuation Mechanics of Leadership Schedule regular meetings Make sure the data is up to date Be in the thick of the work – share knowledge and authority Interact with coaches Guide the selection of projects Show up

Reduce Waiting & No-Shows  Increase Admissions & Continuation NIATX LEADERSHIP ACADEMY Three important Domains – Self, Community and Enterprise In relation to Strategy –continual self an org. leadership abilities People – building the structure to support change Execution – Defining objectives/plans Results – Achieving improved org

Reduce Waiting & No-Shows  Increase Admissions & Continuation You must be the change you wish to see in the world. Mahatma Gandhi

Reduce Waiting & No-Shows  Increase Admissions & Continuation George Kelly, the Creator of Repertory Grids

Reduce Waiting & No-Shows  Increase Admissions & Continuation “A good deal is said these days about being oneself. It is supposed to be healthy to be oneself. While it is a little hard for me to understand how one could be anything else, I suppose what is meant is that one should not strive to become anything other than what he is. This strikes me as a very dull way of living; in fact, I would be inclined to argue that all of us would be better off if we set out to be something other than what we are. Well, I’m not so sure we would all be better off - perhaps it would be more accurate to say life would be a lot more interesting.” George Kelly, The Language of Hypothesis, 1964

Reduce Waiting & No-Shows  Increase Admissions & Continuation Basis Tenets of Repertory Grid Technique 1.) The elicitation of elements identifying the things in the arena to be investigated. 2.) The elicitation of constructs identifying the distinctions that can be made among these elements. 3.) The construction of a grid of elements and constructs.

Reduce Waiting & No-Shows  Increase Admissions & Continuation Personal Construct A personal construct is a bipolar dimension which each person has created and formed into a system of thought through which they interpret their experiences of the world. Element People, things, or events which elicit constructs. Repertory Grid A method for exploring personal construct systems and an attempt to stand in others’ shoes,see the world as they see it, and understand their situations and concerns.

Reduce Waiting & No-Shows  Increase Admissions & Continuation Common Grid Elements a teacher you liked a teacher you disliked significant other difficult employer/supervisor well liked supervisor your mother your father brother nearest in age sister nearest in age well liked co-worker difficult co-worker person you feel sorry for most successful person you know most intelligent person you know most interesting person you know a boy who did not like you in high school a girl who did not like you in high school

Reduce Waiting & No-Shows  Increase Admissions & Continuation Exercise Instructions 1.) Write the provided elements in the 8 slots along the top of the grid 2.) In the first 2 lines of the grid place an x in the 3 spaces corresponding to the provided numbers 3.) Next place numbered index cards face down 4.) Shuffle the cards 5.) Randomly select 3 cards 6.) Turn the 3 cards over and place an x in the third grid line corresponding to the 3 selected numbers 7.) Return the selected cards to the pile of index cards 8.) Repeat this procedure until all 8 lines are completed 9.) Then decide for each line of the grid, “Out of the 3 elements chosen, which 2 seem to have something more in common with each other?” 10.) Connect these two elements with a line 11.) On the left side of the grid describe what aspect these 2 elements share 12.) One the right side express what makes the 3 rd element different

Reduce Waiting & No-Shows  Increase Admissions & Continuation Exercise Elements 1.) Financial Stability 2.) Organizational Change 3.) Me 4.) Co-workers 5.) Organizational Culture 6.) Typical Supervisor 7.) Me ideal 8.) Office of Substance Abuse

Reduce Waiting & No-Shows  Increase Admissions & Continuation Resources The Psychology of Personal Constructs, George Kelly, 1955 A Manual for Repertory Grid Technique, Fay Fransella, Richard Bell & Don Bannister, 2004